The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis CampaignLa Motte, Ellen N. (Ellen Newbold)
History
The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign
La Motte, Ellen N. (Ellen Newbold)
Tuberculosis -- Nursing; Tuberculosis -- Nursing -- United States -- History
There are other foods besides milk and cream liable to contamination,
the sale of which is not controlled in any way. Thus as we have seen,
while a consumptive may be prohibited from selling milk, he may sell
ice-cream without let or hindrance. And furthermore, an ice-cream cone
or “snow-ball,” handled by dirty, germ-laden fingers, is most often sold
to the most susceptible of all customers—the child.
=Lunch Rooms and Eating-Houses.= Many patients earn their living by
keeping eating-houses, oyster-parlours, ice-cream saloons, and so forth.
There is danger to the customer whenever the cooking and serving of food
are done by a consumptive, or by those in contact with a consumptive. A
community to be well protected should enact comprehensive legislation
controlling every aspect of the food supply, and special emphasis should
be laid upon the handling of food by those with a transmissible disease.
=Laundry Work.= Another home occupation is laundry work—unskilled labour
requiring no capital and largely resorted to, especially among negroes.
This is heavy work, hence not always done by the patient, but often by
some other member of the household. Whether the patient irons the clean
clothes or sits coughing in the same room where this is done (we have
often seen newly ironed clothes spread upon the bed of a last-stage
case), the result is much the same. Under such circumstances clothes
become contaminated. Since this sort of laundry work is usually done for
regular customers, they week after week wear clothing that has come from
an infected house. It is dangerous to sleep constantly on pillow cases
that have been coughed on by a consumptive, and to use towels and
napkins that have been subjected to a like infection.
Since there are no laws to govern conditions of this sort, the question
arises, what is the nurse to do in such a case? Must she look on and say
nothing, or must she warn those for whom this laundry work is being
done? It would be futile to argue with the patient’s family—they would
refuse to recognize the danger to others, seeing instead the financial
loss from giving up the work. The nurse must first try to remove the
patient to a hospital, thus doing away entirely with the danger. Failing
in this (through lack of hospital facilities), the family may be willing
to give up the work on condition that an income be substituted by some
charitable agency. Simple as the latter course may seem, so many
obstacles to procuring this aid will arise, that it offers no practical
solution of the matter. If the home surroundings cannot be altered and
the danger reduced, then the patrons or customers should be told of the
conditions under which their laundry work is done. It is not always
possible, however, to locate these customers, since the patient is very
wary of giving information upon this subject. Whenever possible,
nevertheless, they should be told; if they prefer to continue the risk,
they are at least not in ignorance of it.
Public-domain text, read in full here on John Shaqi.
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